An incredibly well researched article in the journal JAMA Psychiatry summarized a body of research on the impact of mental health conditions on overall mortality in the world population and concluded that roughly 10% of all mortality was related to mental health problems. As I’ve recently been wrestling with problems helping people get access to treatment I thought it might …
Mentalize
Sometimes a word just seems to show up everywhere. This past week the word “mentalize” has come up in conversation a number of times. A colleague who is looking for a referral for therapy says that she needs someone who can “mentalize well.” One of my patients who just completed a DBT-based treatment program says that she is doing better because …
Romance and Depression
Jack is a delightful older gentleman who loves sailing and beautiful women, but who has also been wrestling with depression for a year or more. We recently had a fascinating conversation about how romance and depression relate to each other in his life. He has a loving girlfriend who’s been very supportive to him during the past year, during which …
World Bipolar Day
Today, March 30, is World Bipolar Day. World Bipolar Day is a collaborative initiative of the International Society for Bipolar Disorders, the International Bipolar Foundation, and the Asian Network of Bipolar Disorders. I took advantage of the opportunity to do some web surfing and found an incredibly rich array of Twitter sites devoted to this topic. Bipolar World. Bipolar Blogs. Julie …
Insomnia Treatment Reduces Brain Stress
Insomnia treatment may have long-term beneficial effects on the health of your brain. Study in the Journal Biological Psychiatry published in February, 2015 looked at 123 older adults with chronic insomnia who were randomized to one of two active treatments (twice-weekly cognitive behavioral therapy for insomnia (CBTi) for 4 months or a relaxation therapy) or a control group who received educational …
Attentional Bias Modification Prevents Depression
A middle-aged nurse wrestling with depression said she want to do “everything” that she possibly could to improve her mood. She doesn’t have access to therapy through her insurance, and she’s already vigorously pursuing mindfulness practice, but her request reminded me of an article I recently read on Attentional Bias Modification as both a possible treatment of depression and as …
Faith and Depression
Depression wears down our sense of trust and faith. Biologically, depression involves activating parts of the brain that search for problems. What is faith? It is an experience more than a specific belief. You can try an experiment by completing this sentence a few times (in your mind or out loud): “I have faith in _________.” Then complete another sentence …
Exercise Keeps Us Young
A recent New York Times article entitled “How Exercise Keeps Us Young” prompted me to write this post. Those of us who are thinking about getting older may find the whole topic discouraging. There seem to be very few cultural models of successful aging (other than not doing it). The New York Times article summarizes a study that appeared in …
Chronotherapy for Depression
Chronotherapy for depression was recently shown to be effective in a fairly large and well designed study from New Zealand. What is chronotherapy? As discussed in the article, which appeared in Acta Scandanavica Psychiatrica, chronotherapy involves some combination of three separate sleep and wakefulness related interventions: Wake therapy. Wake therapy (previously known as “sleep deprivation” therapy, a harder sell to patients) …
Keith O’Neil Fights Stigma
Keith O’Neil is a former Super Bowl champion and the founder of the Forever Foundation, an organization whose mission is to educate the public about bipolar disorder and to de-stigmatize the illness. In September he spoke at the Brain and Behavior Research Foundation (formerly NARSAD) meeting in Washington, DC. From time to time I like to share information about people …
Bipolar Medications – Lyndsey
Long time correspondent Lyndsey, who has wrestled with bipolar mood swings for years, what it means, how it enhances life, and how it diminishes it, and who has also, at times, cursed the condition and the treatments she has received from her doctors, writes about medications. We don’t generally talk much about medications on this site, because we felt / feel …
Employment Rights and Bipolar
What are your employment rights if you have bipolar? Do you need to tell your employer? Should you tell your employer? What if you’re looking for a job, when can your potential employer ask you about bipolar? We ran across a nice summary with some very useful links on the Bipolar Network News website. Attorney Katharine Gordon writes – It …
Mindfulness Apps
Mindfulness apps have intrigued us for years. The New York Times recently two mindfulness apps. I was pleased to see that the ones they chose were the two apps that we find are the most popular these days: Headspace and Calm.com. I’ve updated the webpage that lists a number of apps and links that you may find helpful. But I thought …
Spock is Dead
Spock is dead. Leonard Nimoy passed away this past Friday at the age of 83. I have to date myself by saying that reruns of the original Star Trek series were a very important part of my adolescence. And I loved the character of Spock. Of course, I was a nerd at a time when that was not universally recognized …
CBT for Insomnia Reduces Suicidal Thoughts
CBT for insomnia (CBTi) is clearly preferable to taking sleeping medications for most people. Studies show that cognitive behavioral therapy is associated with greater improvements in sleep quality than sleeping medications, and that those improvements are more durable, and, particularly in the elderly, sleeping medications are associated with significant adverse effects, including an increase in mortality. But it can be a hard …
Mediterranean Diet is Anti Aging
The Mediterranean Diet appears to have an anti aging effect in a just published study. The study, in the December 2014 edition of the British Medical Journal, found that the Mediterranean Diet was associated with telomere length, a biological marker of aging. Telomeres are DNA sequences at the end of chromosomes that protect the chromosomes from damage and allow healthy cell …
Kathy Leichter and Here One Day
We had the absolute pleasure of talking with director Kathy Leichter about her experience of making her movie, Here One Day. Here One Day is an intimate look into Kathy’s mother’s experience with Bipolar Disorder as well as her own experience, as her daughter. Question: How did you come up with the idea of Here One Day? Kathy Leichter: I’ve been …
Performance Anxiety is Good
Although I have given thousands of presentations to professional audiences over the course of my career, when I was beginning that career I had severe dread of presenting. I would hardly sleep the night before a presentation and was visibly trembling as I went on to the stage (at least that’s how I saw it). Thinking back on that time …
Travel and Mood
Travel and mood are very much related. Often a trip is associated with a significant change in mood. This can be due to many factors. Getting out of a rut, experiencing new locations and meeting new people can bring you out of the depression. However there is also the possibility that travel may disrupt circadian rhythms in a way that leads …
Effective Communication
A friend recently asked for my advice about how to talk with his manager about some concerns he was having at work. He explained that these concerns were growing in intensity over the last few weeks, and he had yet to mention them because he did not want to “cause waves,” didn’t want to offend anyone, and didn’t actually know what to say …